Contralateral Breast Symmetrisation in Immediate Prosthetic Breast Reconstruction after Unilateral Nipple-Sparing Mastectomy: The Tailored Reduction/Augmentation Mammaplasty

 

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Background In the literature on nipple-sparing mastectomy (NSM) with one-stage immediate implant reconstruction, contralateral symmetrisation has drawn little attention, with many surgeons still performing standard cosmetic mammaplasty procedures. However, standard implant-based mammaplasty usually does not result in proper symmetry with the mastectomy side, especially regarding breast projection, overall shape, and volume distribution.

Methods We retrospectively reviewed 19 consecutive patients undergoing unilateral NSM with immediate prosthetic reconstruction and contralateral simultaneous symmetrisation by using the tailored reduction/augmentation mammaplasty technique between June 2012 and August 2013.

Results The average follow-up time was 13 months (range, 10-24 months). No major complications, such as infection, haematoma, and nipple-areola complex necrosis, were experienced.

Conclusions Our experience suggests that simultaneous contralateral symmetrisation with tailored reduction/augmentation mammaplasty after unilateral immediate implant reconstruction after NSM facilitates durable and pleasant symmetric outcomes.

The authors thank Antonia Conti, Medical Artist, for designing high-fidelity artwork.

Publication History

Received: 01 November 2014

Accepted: 14 January 2015

Article published online:
05 May 2022

© 2015. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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• 1 Endara M, Chen D, Verma K. et al. Breast reconstruction following nipple-sparing mastectomy: a systematic review of the literature with pooled analysis. Plast Reconstr Surg 2013; 132: 1043-1054
  CrossrefPubMedSearch in Google Scholar
• 2 Salgarello M, Visconti G, Barone-Adesi L. Nipple-sparing mastectomy with immediate implant reconstruction: cosmetic outcomes and technical refinements. Plast Reconstr Surg 2010; 126: 1460-1471
  CrossrefPubMedSearch in Google Scholar
• 3 Spear SL, Shuck J, Hannan L. et al. Evaluating long-term outcomes following nipple-sparing mastectomy and reconstruction in the irradiated breast. Plast Reconstr Surg 2014; 133: 605e-614e
  CrossrefPubMedSearch in Google Scholar
• 4 Losken A, Carlson GW, Bostwick 3rd J. et al. Trends in unilateral breast reconstruction and management of the contralateral breast: the Emory experience. Plast Reconstr Surg 2002; 110: 89-97
  CrossrefPubMedSearch in Google Scholar
• 5 Leone MS, Priano V, Franchelli S. et al. Factors affecting symmetrization of the contralateral breast: a 7-year unilateral postmastectomy breast reconstruction experience. Aesthetic Plast Surg 2011; 35: 446-451
  CrossrefPubMedSearch in Google Scholar
• 6 Webster R. How does ptosis affect satisfaction after immediate reconstruction plus contralateral mammaplasty?. Ann Plast Surg 2010; 65: 294-299
  CrossrefPubMedSearch in Google Scholar
• 7 Salgarello M, Visconti G, Barone-Adesi L. Dual-plane prosthetic reconstruction using the modified wise pattern mastectomy in women with macromastia. Plast Reconstr Surg 2011; 127: 1740-1742
  CrossrefPubMedSearch in Google Scholar
• 8 Salgarello M, Visconti G, Barone-Adesi L. et al. Inverted-T skin-reducing mastectomy with immediate implant reconstruction using the submuscular-subfascial pocket. Plast Reconstr Surg 2012; 130: 31-41
  PubMedSearch in Google Scholar
• 9 Salgarello M, Visconti G, Barone-Adesi L. One-stage immediate breast reconstruction with implants in conservative mastectomies [Internet]. Croatia: InTech; 2012. cited 2014 Jan 27. Available from: https://www.intechopen.com/books/breast-reconstruction-current-techniques/one-stage-immediate-breast-reconstruction-with-implants-in-conservative-mastectomies
  Search in Google Scholar
• 10 Davidenko JM, Pertsov AV, Salomonsz R. et al. Stationary and drifting spiral waves of excitation in isolated cardiac muscle. Nature 1992; 355: 349-351
  Search in Google Scholar
• 11 Salgarello M, Visconti G, Barone-Adesi L. Interlocking circumareolar suture with undyed polyamide thread: a personal experience. Aesthetic Plast Surg 2013; 37: 1061-1062
  CrossrefPubMedSearch in Google Scholar
• 12 Gasperoni C, Salgarello M, Gasperoni P. A personal technique: mammaplasty with J scar. Ann Plast Surg 2002; 48: 124-130
  CrossrefPubMedSearch in Google Scholar